MEDICARE: ROI PRIMARY CARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1285428300
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROI PRIMARY CARE, LLC

Provider Business Mailing Address
First Line	:	9500 MEDICAL CENTER DR STE 270
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-3709
Country	:	US
Telephone Number	:	240-615-7612
Fax Number	:

Provider Business Practice Location Address
First Line	:	9500 MEDICAL CENTER DR STE 270
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-3709
Country	:	US
Telephone Number	:	240-615-7612
Fax Number	:

Authorized Official
Title or Position	:	PROVIDER
Name	:	IRENE NDUKWE
Credential	:
Telephone Number	:	240-615-7612

Provider Enumeration Date	:	04/04/2025
Last Update Date	:	04/04/2025

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Directions to “ROI PRIMARY CARE, LLC ” Practice Location

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